what things are different with immunizations than from other intramuscular medications? 3

no aspiration, no z-track, quick withdrawal (no wait time)

where is an intramusclar deltoid injection administered?

lateral upper arm, place 4 fingers across deltoid muscle with first finger on the acromion process.

what is the needle gauge for an IM ventrogluteal injection?

21 or 22

what is the needle length for an IM ventrogluteal injection?

1.5 in. (if obese 3 in.)

what is the angle you administer an IM ventrogluteal injection at?

90 degrees

what is the maximum fluid amount you can inject into an IM ventrogluteal site? (3)

2-3 ml for children, no more than 2 ml for older adults, infants no more than 0.5 ml

how do you find an IM ventrogluteal injection site?

client lies on side or back, flexing knee and hip. place heel of hand over greater trochanter (thumb should always be going towards inside of thigh toward groin--left hand on right hip), middle finger extends back along iliac crest towards buttock, index finger points towards the anterior superior iliac spine. index finger and middle finger and the iliac crest for a v shaped triangle. feel for a thick muscle area in middle. injection site in middle of triangle.

do you aspirate an IM ventrogluteal injection site?

yes

what is the needle gauge for an IM vastus lateralis injection?

21 or 22

what is the needle length for an IM vastus lateralis injection?

1 to 1.5 in

what is the angle you administer an IM vastus lateralis injection?

90 degrees

what is the maximum fluid amount you can inject into an IM vastus lateralis site?

2-3 ml

what is the needle gauge for a subcutaneous posterior upper arm injection?

27 to 25 (insulin is 26-31)

what is the needle length for a SQ posterior upper arm injection?

1/2 to 5/8 in

what is the angle you administer a SQ posterior upper arm injection?

45 to 90 degrees

what is the maximum amount of fluid you can inject into a SQ posterior upper arm?